Breast augmentation
and feminisation of the breast
MTF
First consultation free
Breast augmentation
and feminisation of the breast
MTF
Breast augmentation
Breast augmentation surgery as part of the process of feminisation of the body
MADRID | ZURICH
Breast augmentation for trans women is one of the most important procedures in the process of body feminisation. In the context of gender affirmation surgery, this procedure is also internationally known as breast augmentation MTF (Male-to-Female). Beyond modifying the size of the breast, this surgery allows to adapt the silhouette and contribute to a greater harmony between gender identity and physical appearance.
In the case of transgender women, there are specific anatomical features that must be taken into account during surgical planning. These include the position of the nipple, the distance between the areola and the inframammary fold and the width of the thorax. These factors influence the choice of implant and the most appropriate surgical technique.
For this reason, breast augmentation is planned on an individual basis. The selection of the type of prosthesis, its size, shape and position is made after analysing each patient's anatomy and aesthetic goals.
To optimise aesthetic results, complementary procedures such as fat grafting (hybrid augmentation) can often be added. Also, gender reassignment surgery can be performed at the same time as breast augmentation, thus reducing the number of anaesthesia and hospitalisations required.
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DURATION 60 minutes
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DISCHARGE FROM THE CLINIC Same day
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BACK TO WORK 4 – 6 days
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DURATION 60 minutes
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DISCHARGE FROM THE CLINIC Same day
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BACK TO WORK 4 – 6 days
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SUITABLE FOR SOCIETY 3-5 days
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ANESTHESIA General
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FULL RECOVERY 2-3 weeks
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SUITABLE FOR SOCIETY 3-5 days
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ANESTHESIA General
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FULL RECOVERY 2-3 weeks
Motiva
JOY™ is an all-in-one program that offers women a superior breast augmentation experience. It includes the latest Motiva® implant technology with Ergonomix2®, a minimally invasive procedure offered by JOY™ Partners, and support throughout their journey through our digital tools. Dr. Fakin is honored to be part of this project.
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Instructions
When can breast augmentation be considered for trans women?
Breast augmentation can be part of the process of body feminisation when a person wishes to develop a more defined breast contour that is proportional to the rest of the silhouette.
In many trans women, hormone treatment can stimulate the growth of the mammary gland. However, this development may not be sufficient to achieve the desired volume or shape.
Breast augmentation surgery can help:
- Increasing breast volume
- Improve breast projection
- Balancing body proportions
- Reinforcing the feminisation of the silhouette
The indication for surgery is always established following a individualized medical assessment, The patient's anatomy, existing tissue and expectations are taken into account.
Implants
Breast implants and prosthesis selection
The choice of breast implant is one of the most important aspects of breast augmentation planning. It is not just a matter of selecting a particular size, but of finding the right combination of volume, shape, projection and anatomical features.
In clinical practice, the following are used state-of-the-art breast implants, designed to deliver natural and long-lasting results.
Among the most commonly used brands of breast implants are:
Motivation: ergonomically shaped implants with a very natural feel and very low capsular contracture rates.
B-Lite: up to 30% lighter than other implants of equivalent volume.
Polytech: implants are available in different anatomical or round configurations.
Perle GCA: implants with technologies aimed at improving biocompatibility and reducing the risk of encapsulation,
The final selection of the implant is made after a personalised medical assessment.
Breast implant shapes
In addition to the size, the shape of the implant influences the final result of the breast augmentation.
There are different options that allow the result to be adapted to the anatomy and aesthetic preferences of each patient.
- Round implants: offer an even distribution of volume between the upper and lower chest.
- Anatomical implants: are similar in shape to the natural breast, with greater projection at the lower pole.
- Ergonomic implants: adapt to the patient's body position, adopting a more anatomical shape when standing.
In addition to the shape, different degrees of projection are considered to adapt to the silhouette and the percentage of existing breast tissue. The elasticity of the skin and the positioning of the prosthesis are also assessed to obtain a natural, attractive result in accordance with each person's wishes.
Breast augmentation surgical techniques
Breast implant placement can be performed in different positions in relation to the pectoralis muscle. The choice of plane depends on the anatomy of each patient, the existing breast tissue and the desired aesthetic result.
- Subglandular plane: the implant is placed over the pectoral muscle and under the mammary gland.
- Submuscular plane: the implant is placed below the pectoralis muscle, which may offer greater coverage in certain cases.
- Dual plane: the implant is partially under the muscle in the upper pole and over the muscle in the lower pole, combining support and naturalness.
The implant is inserted through discreet incisions in different areas of the breast:
- inframammary fold, in the lower groove of the chest
- periareolar, at the border between the areola and the surrounding skin
- transaxillary, through a small incision in the armpit
The choice of technique is always made after an individual surgical assessment.
Complementary procedures to breast augmentation augmentation
In some cases breast augmentation can be combined with other procedures to optimise the aesthetic result and improve the harmony of the body contour. These include:
- breast lipofilling, which allows for improved implant coverage using the patient's own fat.
- hybrid augmentation, combining implants and fat transfer
- breast lift, when there is some breast sagging
The possibility of combining these procedures is evaluated during surgical planning.
Scars, results and recovery
The incisions used during breast augmentation are carefully planned so that the scars are as inconspicuous as possible. Depending on the technique used, they may be located in the inframammary fold, at the edge of the areola or in the armpit area.
Over time, these scars tend to integrate naturally with the tissues.
The goal of breast augmentation is to create a contoured breast proportionate, natural and balanced with the body silhouette. Personalised planning allows the volume and shape of the implant to be adapted to the characteristics of each patient.
Initial recovery usually takes a few days. Many patients are able to resume daily activities in about a week, while full recovery usually occurs within a few days. two to three weeks.
Real case results
before and after breast augmentation
Breast augmentation:
Frequently Asked Questions
What is MTF breast augmentation?
MTF (Male-to-Female breast augmentation) is a surgery that allows the development of a more feminine breast contour by means of implants or combined breast augmentation techniques within the process of body feminisation.
Which implant size is the most suitable?
The ideal size depends on the patient's anatomy, the existing tissue and the desired aesthetic result.
How long is the recovery time after breast augmentation?
Many patients are able to resume daily activities in about 4 to 6 days, while full recovery usually takes 2 to 3 weeks.
Do implants need to be replaced over time?
If there are no complications or discomfort, current implants can be maintained for many years. There is no general medical indication to replace them every ten years.
Can breast augmentation be combined with other procedures?
Yes, in some cases breast augmentation can be combined with breast lipofilling or body feminisation procedures to improve the harmony of the silhouette.
Is breast augmentation for trans women different from that for cis women?
Yes, there are anatomical differences to be taken into account, such as the width of the thorax or the position of the nipple, so surgical planning is adapted to each case.
Dr. Richard Fakin
international elite surgeon
At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to offer rigorous medical care, but friendly in its human approach. Each patient receives individualized support, from the first consultation to post-operative follow-up.
Beyond the technique, Dr. Fakin and his team's commitment is reflected in transparent, honest, and personalized care, where Each patient is treated with dedication and professionalism in all phases of the process.
Our facilities
Madrid
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C. de Velázquez, 109, 28006 Madrid, Spain
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madrid@drrichardfakin.com
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+34 679 85 86 39
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C. de Velázquez, 109, 28006 Madrid, Spain
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madrid@drrichardfakin.com
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+34 679 85 86 39
Zurich
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Giesshübelstrasse 45, 8045 Zurich
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zurich@drrichardfakin.com
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+41 78 206 44 88
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Giesshübelstrasse 45, 8045 Zurich
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zurich@drrichardfakin.com
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+41 78 206 44 88
